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v <br /> 09(0 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANTQ� r i PHONE NO Ll-11-1 <br /> Cr <br /> ADDRESS 12� �K pFIONE NO <br /> -y <br /> AGENCY NAMC r <br /> ADDRESS <br /> BUSINESS NAME/ PROGRAM OR <br /> FULLSSFACILITY TYPE�ILE <br /> 7701 <br /> ZA01 fYlac <br /> �, r�n�I na hal f��Cc� <br /> THIS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION IEHD) POLICYp94-007, ORDINANCE CODE OF <br /> SAN J CODE AND QUIN TFEE AND SERVICE EVIDENCE CODE. <br /> 1 . <br /> CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVE <br /> 1 . A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST <br /> PPOINTMENT ONLY. APPOINTMENTS ARE PROCESS- <br /> 2. PUBLIC FILES/RECORDS REVIEOFFICE HOUR <br /> W IS BY ATHRU FRIDAY ED By CALLING HOL(20914ING3420IDAYS, 8:00 AM TORP <br /> 12APPOINTMENTS:00 NOON AND 1R00 TO 4D30 PM <br /> ULED 3.3. A PUBLIC FILES/RECORDS RELEASE APPLICATION (PRRAI IS REQUIRED. <br /> AS RECEIVED WILL <br /> 4. PCORRUBLIC FILESIRECRDS NOT RETURNED IN THE ECTED BY THE EOHD STAFF AT THE EXPENSE OF THECAPPLLICANT. THIS ADO T ONAL E <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EHD POLICY 94- 007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES:` .•' <br /> ................ <br /> DATE <br /> SIGNATURE OF APPLICANT IODATE <br /> SIGNATURE OF RELEASING OFFICIAL <br /> EH 00 14 (REV 9/96) <br />